| NPI | 1861566143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: AK AA2038) |
| Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: AK AA2038) |
| 2086X0206X Surgery, Surgical Oncology (Licence: AK AA2038) | |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2008-04-01 |